(Suggested form for Application for Plea-bargaining, Affidavit and Report on

Satisfactory Mutual Disposition) APPLICATION FOR PLEA BARGAINING In

the Court of the learned Magistrate At……………………………………..Court
No……………………… Criminal Case No. …………./20………
………………………..State/Complainant V
……………………………….Accused In the matter of an application Under
Section 265B(2), Code of Criminal Procedure, 1973 This humble application on
behalf Of …………………. The accused Most respectfully sheweth 1. That I have
read/been read over the complaint/charge sheet filed against me for the alleged
offence (s) punishable under Section ………………………………… of the
………………. Code/Act. 2. That I have also been read-over and explained the
charge(s) against me, which is/ are as under:- CHARGE (S). 3. That I have also
been informed by the learned Magistrate that for the alleged offences, the statutory
minimum prescribed punishment is SI/RI for not less than…………years/ months
and/or fine of Rs. …….. or both. 4. That I have not been previously held guilty and
convicted by any court for the offences(s) with which I am now charged. 5. That in
the circumstances I voluntarily wish to avail the benefit of plea bargaining. 6. That
the affidavit required under Section 265B (2) duly sworn by me is appended to this
application. It is prayed therefore that your Honour may be pleased to grant this
application and permit me to avail the benefit of plea-bargaining. And this
applicant shall ever pray for this. VERIFICATION Verified this
………………………… day of …………………20…….by……………… the
accused no …….. in case no……./20……. Signature of the Applicant Accepted /
Rejected ___________________ Signature of the leaned Magistrate with seal
Date:- *Strike out which ever is not applicable. AFFIDAVIT I,
…………………………… aged about …….. years, s/o,
…………………………… resident of ………………P.S……………. District
…………………………..solemnly affirm and declare that. 1) That I am accused in
criminal case no…………../20 ……….. pending in the Court of Magistrate
…………………………. Charged with offences under section(s)…………. Of
………... Code/Act. 2) That I Understand that I can be punished with SI/RI for as
minimum ………………. And a maximum of ……….. years and/or fine of
Rs……….. or both. 3) That I have not been previously convicted for the above
mentioned offence(s) b any court. 4) That I have voluntarily preferred an
application for plea-bargaining. DEPONENT